J Korean Med Sci.  2011 Jan;26(1):1-10. 10.3346/jkms.2011.26.1.1.

Prevalence of the Major Mental Disorders among the Korean Elderly

Affiliations
  • 1Department of Psychiatry & Behavioral Science, Seoul National University College of Medicine, Seoul, Korea. mjcho@snu.ac.kr
  • 2Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Korea.
  • 3Department of Psychiatry, Seoul Metropolitan Boramae Medical Center, Seoul, Korea.

Abstract

With a rapidly aging society, geriatric mental health is emerging as important public health concern. Despite the short history of psychiatric epidemiology in Korea, recently, epidemiologic data regarding geriatric psychiatric problems has started to accumulate. In the current study, we reviewed epidemiological findings regarding geriatric mental health in Korea. It was found that up to 10% of the elderly suffer from dementia, and 10% to 20% from depressive disorder. Further, prevalence estimates of Alzheimer's disease ranged from 4.2% to 9.0%, and vascular dementia from 1.0% to 4.8%. Annual incidence rates for Alzheimer's were 2.7% to 3.4% whereas that for vascular dementia was found to be as low as 0.3%. The prevalence of major depressive disorder was 4.2% to 9.1%, while that of clinically significant depressive symptom was between 9.1% and 33.0%. Finally, those with alcohol use disorders were found to comprise up to 13.6% of elderly population and additionally, 22% to 58% of the elderly were found to have sleep difficulties. Thus major mental disorders are already prevalent among the Korean elderly and are likely to increase rapidly.

Keyword

Aged; Mental Health; Psychiatric Epidemiology; Dementia; Depressive Disorder; Korea

MeSH Terms

Aged
Aged, 80 and over
Alzheimer Disease/epidemiology
Dementia/epidemiology
Dementia, Vascular/epidemiology
Depressive Disorder/epidemiology
Humans
Mental Disorders/*epidemiology
Prevalence
Republic of Korea/epidemiology
Risk Factors

Cited by  2 articles

Utility of Oblique Coronal Images in Elderly and Cognitively Impaired Patients
Young Ho Park, Jae-Won Jang, So Young Park, Min Jeong Wang, Jae Hyoung Kim, SangYun Kim
J Clin Neurol. 2015;11(2):200-201.    doi: 10.3988/jcn.2015.11.2.200.

Factors Affecting Cognitive Impairment and Depression in the Elderly Who Live Alone: Cases in Daejeon Metropolitan City
Juyoun Lee, Min Joo Ham, Jae Young Pyeon, Eungseok Oh, Seong Hae Jeong, Eun Hee Sohn, Ae Young Lee
Dement Neurocogn Disord. 2017;16(1):12-19.    doi: 10.12779/dnd.2017.16.1.12.


Reference

1. Population projection for Korea. Korean National Statistical Office. accessed on 1 May 2009. Available at http://kosis.kr/nsportal/abroad/abroad_01List.jsp?parentId=A.
2. Park J, Ko HJ, Park YN, Jung CH. Dementia among the elderly in a rural Korean community. Br J Psychiatry. 1994. 164:796–801.
3. Woo JI, Lee JH, Yoo KY, Kim CY, Kim YI, Shin YS. Prevalence estimation of dementia in a rural area of Korea. J Am Geriatr Soc. 1998. 46:983–987.
4. Cho MJ, Hahm BJ, Jhoo JH, Bae JN, Kwon JS. Prevalence of cognitive impairment and depressive symptoms among the elderly in an urban community. J Korean Neuropsychiatr Assoc. 1998. 37:352–362.
5. Kim DH, Na DL, Yeon BG, Kang Y, Min KB, Lee SH, Lee SS, Lee MR, Pyo OJ, Park CB, Kim S, Bae SS. Prevalence of dementia in the elderly of an urban community in Korea. Korean J Prev Med. 1999. 32:306–316.
6. Kwak DI, Choi YK, Jung IK, Lee MS. Epidemiological study of dementia in a Korea urban area. J Korean Geriatr Psychiatry. 1999. 3:44–52.
7. Cho MJ, Hong JP. Mental health status and health promotion in Korean elderly: a study on elderly in a big city. 2000. Seoul: Jip Moon Dang.
8. Bae JN. Dementia, depressive disorders, and substance use disorders among the urban elderly in Korea [dissertation]. 2001. Seoul: Seoul National University.
9. Kim JK, Kim SU, Hahm BJ, Lee JY, Cho MJ. Three and half year follow-up study on a rural elderly cohort: prevalence, incidence, and service utilization of dementia and depressive disorders. J Korean Geriatr Psychiatry. 2002. 6:88–96.
10. Lee DY, Lee JH, Ju YS, Lee KU, Kim KW, Jhoo JH, Yoon JC, Ha J, Woo JI. The prevalence of dementia in older people in an urban population of Korea: the Seoul study. J Am Geriatr Soc. 2002. 50:1233–1239.
11. Shin IS, Kim JM, Yoon JS, Kim SJ, Yang SJ, Kim WJ, Lee SH, Kang SA, Kwak JY, Lee HY. Prevalence rate and risk factors of dementia compared between urban and rural communities of the metropolitan Kwangju area. J Korean Neuropsychiatr Assoc. 2002. 41:1165–1173.
12. Kim J, Jeong I, Chun JH, Lee S. The prevalence of dementia in a metropolitan city of South Korea. Int J Geriatr Psychiatry. 2003. 18:617–622.
13. Suh GH, Kim JK, Cho MJ. Community study of dementia in the older Korean rural population. Aust N Z J Psychiatry. 2003. 37:606–612.
14. Lee JY, Kim JK, Hahm BJ, Suh GH, Jeon HJ, Chang HS, Chang JS, Cho MJ. Incidence and risk factors of dementia in a rural area. J Korean Geriatr Psychiatry. 2004. 8:127–132.
15. Shin HY, Chung EK, Rhee JA, Yoon JS, Kim JM. Prevalence and related factors of dementia in an urban elderly population using a new screening method. J Prev Med Public Health. 2005. 38:351–358.
16. Kim JM, Stewart R, Kim SW, Yang SJ, Shin IS, Yoon JS. A prospective study of changes in subjective memory complaints and onset of dementia in South Korea. Am J Geriatr Psychiatry. 2006. 14:949–956.
17. Jhoo JH, Kim KW, Huh Y, Lee SB, Park JH, Lee JJ, Choi EA, Han C, Choo IH, Youn JC, Lee DY, Woo JI. Prevalence of dementia and its subtypes in an elderly urban korean population: results from the Korean Longitudinal Study on Health And Aging (KLoSHA). Dement Geriatr Cogn Disord. 2008. 26:270–276.
18. Choi SJ, Jung SS, You YS, Shin BS, Kim JE, Yoon SW, Jeon DW, Baek JH, Park SW, Lee JG, Kim YH. Prevalence of Alzheimer's dementia and its risk factors in community-dwelling elderly Koreans. Psychiatry Investig. 2008. 5:78–85.
19. Seoul National University Hospital. Nationwide study on the prevalence of dementia in Korean elders. 2009. Seoul: Seoul National University Hospital.
20. Ott A, Breteler MM, van Harskamp F, Claus JJ, van der Cammen TJ, Grobbee DE, Hofman A. Prevalence of Alzheimer's disease and vascular dementia: association with education. The Rotterdam study. BMJ. 1995. 310:970–973.
21. O'Connor DW, Pollitt PA, Hyde JB, Fellows JL, Miller ND, Brook CP, Reiss BB, Roth M. The prevalence of dementia as measured by the Cambridge Mental Disorders of the Elderly Examination. Acta Psychiatr Scand. 1989. 79:190–198.
22. Evans DA, Funkenstein HH, Albert MS, Scherr PA, Cook NR, Chown MJ, Hebert LE, Hennekens CH, Taylor JO. Prevalence of Alzheimer's disease in a community population of older persons. Higher than previously reported. JAMA. 1989. 262:2551–2556.
23. Rocca WA, Bonaiuto S, Lippi A, Luciani P, Turtù F, Cavarzeran F, Amaducci L. Prevalence of clinically diagnosed Alzheimer's disease and other dementing disorders: a door-to-door survey in Appignano, Macerata Province, Italy. Neurology. 1990. 40:626–631.
24. Dartigues JF, Gagnon M, Michel P, Letenneur L, Commenges D, Barberger-Gateau P, Auriacombe S, Rigal B, Bedry R, Alpérovitch A, Orgogolo JM, Henry P, Loiseau P, Salamon R. The Paquid research program on the epidemiology of dementia. Methods and initial results. Rev Neurol (Paris). 1991. 147:225–230.
25. Canadian Study of Health and Aging Working Group. Canadian study of health and aging: study methods and prevalence of dementia. CMAJ. 1994. 150:899–913.
26. Fratiglioni L, Grut M, Forsell Y, Viitanen M, Grafström M, Holmén K, Ericsson K, Backman L, Ahlbom A, Winblad B. Prevalence of Alzheimer's disease and other dementias in an elderly urban population: relationship with age, sex, and education. Neurology. 1991. 41:1886–1892.
27. Ueda K, Kawano H, Hasuo Y, Fujishima M. Prevalence and etiology of dementia in a Japanese community. Stroke. 1992. 23:798–803.
28. Hasegawa K. The clinical issues of age-related dementia. Tohoku J Exp Med. 1990. 161:Suppl. 29–38.
29. Yamada M, Sasaki H, Mimori Y, Kasagi F, Sudoh S, Ikeda J, Hosoda Y, Nakamura S, Kodama K. Prevalence and risks of dementia in the Japanese population: RERF's adult health study Hiroshima subjects. Radiation Effects Research Foundation. J Am Geriatr Soc. 1999. 47:189–195.
30. Shibayama H, Kasahara Y, Kobayashi H. Prevalence of dementia in a Japanese elderly population. Acta Psychiatr Scand. 1986. 74:144–151.
31. Dong MJ, Peng B, Lin XT, Zhao J, Zhou YR, Wang RH. The prevalence of dementia in the People's Republic of China: a systematic analysis of 1980-2004 studies. Age Ageing. 2007. 36:619–624.
32. Jorm AF, Christensen H, Jacomb PA, Korten AE, Mackinnon AJ. The cognitive decline scale of the psychogeriatric assessment scales (PAS): longitudinal data on its validity. Int J Geriatr Psychiatry. 2001. 16:261–265.
33. Cho MJ, Park IS, Shin YM, Kim MJ, Jung HY, Chung EK, Choi YS, Suh GH, Hahm BJ. A preliminary study for the validation of the Korean version of psychogeriatric assessment scale. J Korean Neuropsychiatr Assoc. 2000. 39:128–141.
34. Yoon SJ, Lee YH, Son TY, Oh HJ, Han GS, Kim KH. Factors Associated with dementia and depressive symptoms in older persons living in the community. J Korean Gerontol Soc. 2002. 21:59–73.
35. Ko K, Jung M, Hong S. Prevalence of cognitive impairment and related factors among the elderly in rural communities of Jeju Province. J Korean Acad Nurs. 2003. 33:503–509.
36. Oh BH, Kim HS, Kim JH, Cho HS, Cho KH, Cho HS, Yoo KJ. Epidemiologic study of cognitive impairment and depressive symptoms of the elderly in a Korean rural community. J Korean Geriatr Psychiatry. 1998. 2:176–186.
37. Ikeda M, Hokoishi K, Maki N, Nebu A, Tachibana N, Komori K, Shigenobu K, Fukuhara R, Tanabe H. Increased prevalence of vascular dementia in Japan: a community-based epidemiological study. Neurology. 2001. 57:839–844.
38. Fratiglioni L, De Ronchi D, Agüero-Torres H. Worldwide prevalence and incidence of dementia. Drugs Aging. 1999. 15:365–375.
39. Ferri CP, Prince M, Brayne C, Brodaty H, Fratiglioni L, Ganguli M, Hall K, Hasegawa K, Hendrie H, Huang Y, Jorm A, Mathers C, Menezes PR, Rimmer E, Scazufca M. Global prevalence of dementia: a Delphi consensus study. Lancet. 2005. 366:2112–2117.
40. Suh GH, Shah A. A review of the epidemiological transition in dementia--cross-national comparisons of the indices related to Alzheimer's disease and vascular dementia. Acta Psychiatr Scand. 2001. 104:4–11.
41. Yamada T, Hattori H, Miura A, Tanabe M, Yamori Y. Prevalence of Alzheimer's disease, vascular dementia and dementia with Lewy bodies in a Japanese population. Psychiatry Clin Neurosci. 2001. 55:21–25.
42. Maj M, Sartorius N. Dementia. 2002. 2nd ed. Chichester: John Wiley & Sons Ltd.
43. Fratiglioni L, Viitanen M, von Strauss E, Tontodonati V, Herlitz A, Winblad B. Very old women at highest risk of dementia and Alzheimer's disease: incidence data from the Kungsholmen Project, Stockholm. Neurology. 1997. 48:132–138.
44. Heyman A, Peterson B, Fillenbaum G, Pieper C. The consortium to establish a registry for Alzheimer's disease (CERAD). Part XIV: Demographic and clinical predictors of survival in patients with Alzheimer's disease. Neurology. 1996. 46:656–660.
45. Katzman R. Education and the prevalence of dementia and Alzheimer's disease. Neurology. 1993. 43:13–20.
46. Stern Y, Gurland B, Tatemichi TK, Tang MX, Wilder D, Mayeux R. Influence of education and occupation on the incidence of Alzheimer's disease. JAMA. 1994. 271:1004–1010.
47. Mortimer JA, van Duijn CM, Chandra V, Fratiglioni L, Graves AB, Heyman A, Jorm AF, Kokmen E, Kondo K, Rocca WA. Head trauma as a risk factor for Alzheimer's disease: a collaborative re-analysis of case-control studies. EURODEM Risk Factors Research Group. Int J Epidemiol. 1991. 20:Suppl 2. S28–S35.
48. Guo Z, Cupples LA, Kurz A, Auerbach SH, Volicer L, Chui H, Green RC, Sadovnick AD, Duara R, DeCarli C, Johnson K, Go RC, Growdon JH, Haines JL, Kukull WA, Farrer LA. Head injury and the risk of AD in the MIRAGE study. Neurology. 2000. 54:1316–1323.
49. Breitner JC. Inflammatory processes and antiinflammatory drugs in Alzheimer's disease: a current appraisal. Neurobiol Aging. 1996. 17:789–794.
50. McGeer PL, Schulzer M, McGeer EG. Arthritis and anti-inflammatory agents as possible protective factors for Alzheimer's disease: a review of 17 epidemiologic studies. Neurology. 1996. 47:425–432.
51. Meyer JS, Rauch GM, Rauch RA, Haque A, Crawford K. Cardiovascular and other risk factors for Alzheimer's disease and vascular dementia. Ann N Y Acad Sci. 2000. 903:411–423.
52. Hébert R, Lindsay J, Verreault R, Rockwood K, Hill G, Dubois MF. Vascular dementia: incidence and risk factors in the Canadian study of health and aging. Stroke. 2000. 31:1487–1493.
53. Suh GH, Kim JK, Yeon BK, Park SK, Yoo KY, Yang BK, Kim YS, Cho MJ. Prevalence and risk factors of dementia and depression in the elderly. J Korean Neuropsychiatr Assoc. 2000. 39:809–824.
54. Cho MJ, Nam JJ, Suh GH. Prevalence of symptoms of depression in a nationwide sample of Korean adults. Psychiatry Res. 1998. 81:341–352.
55. Koenig HG, Blazer DG. Epidemiology of geriatric affective disorders. Clin Geriatr Med. 1992. 8:235–251.
56. Rhee JA, Jung HG. A study on the depression and cognitive impairment in the rural elderly. Korean J Prev Med. 1993. 26:412–429.
57. Cho MJ, Kim KH. Use of the Center for Epidemiologic Studies Depression (CES-D) Scale in Korea. J Nerv Ment Dis. 1998. 186:304–310.
58. Kim JM, Shin IS, Yoon JS, Stewart R. Prevalence and correlates of late-life depression compared between urban and rural populations in Korea. Int J Geriatr Psychiatry. 2002. 17:409–415.
59. Hong JP. Prevalence of psychiatric illness and quality of life in the Korean urban elderly Seoul [dissertation]. 2000. Seoul: Seoul National University.
60. Kim JM, Stewart R, Shin IS, Yoon JS, Lee HY. Lifetime urban/rural residence, social support and late-life depression in Korea. Int J Geriatr Psychiatry. 2004. 19:843–851.
61. Kim JM, Shin IS, Kim LJ, Yoon JS, Lee HY. Subjective memory impairment, cognitive function and depression, a cross-sectional study in acommunity dwelling elderly population. J Korean Neuropsychiatr Assoc. 2002. 41:706–712.
62. Lee CI, Hong SC. The prevalence and related factors of depressive symptoms among the elderly in rural areas of Jeju island. J Korean Geriatr Psychiatry. 2002. 6:97–109.
63. Cho MJ, Hahm BJ, Rhi BY, Kim SY, Shin YM, Lee CI. Prevalence of cognitive impairment and depressive symptomatology of the elderly in a long-term institution. J Korean Neuropsychiatr Assoc. 1998. 37:913–920.
64. Cho MJ, Hahm BJ, Suh T, Suh GH, Cho SJ, Lee CK. Comorbid mental disorders among the patients with alcohol abuse and dependence in Korea. J Korean Med Sci. 2002. 17:236–241.
65. Namkoong K, Lee HY, Lee MH, Kim NW, Shin SC. The epidemiological study of alcoholism in the elderly in a Korean rural community (Kangwha county). J Korean Neuropsychiatr Assoc. 1989. 28:1082–1090.
66. Kim JM, Shin IS, Stewart R, Yoon JS. Alcoholism in older Korean men: prevalence, aetiology, and comorbidity with cognitive impairment and dementia in urban and rural communities. Int J Geriatr Psychiatry. 2002. 17:821–827.
67. Kim KW, Choi EA, Lee SB, Park JH, Lee JJ, Huh Y, Youn JC, Jhoo JH, Choo IH, Kim MH, Lee DY, Woo JI. Prevalence and neuropsychiatric comorbidities of alcohol use disorders in an elderly Korean population. Int J Geriatr Psychiatry. 2009. 24:1420–1428.
68. Moos RH, Brennan PL, Schutte KK, Moos BS. Older adults' health and late-life drinking patterns: a 20-year perspective. Aging Ment Health. 2010. 14:33–43.
69. Kim L. Pharmacological treatment of sleep disorders in elderly. J Korean Geriatr Psychiatry. 2003. 7:11–22.
70. Yang CK, Yoo SY, Joo YH, Hahn HM. Sleep habits and sleep disorders among the elderly between 65-84 years who are living in a part of Pusan. Sleep Med Psychophysiol. 1997. 4:66–76.
71. Yoon JS, Shin IS, Kim JM, Kang SA, Ha HY, Park IS, Lee HY. Sleep patterns and problems of the korean elderly in urban and rural areas. Korean J Sleep Med. 1999. 1:42–49.
72. Cho MJ, Kim JK, Jeon HJ, Suh T, Chung IW, Hong JP, Bae JN, Lee DW, Park JI, Cho SJ, Lee CK, Hahm BJ. Lifetime and 12-month prevalence of DSM-IV psychiatric disorders among Korean adults. J Nerv Ment Dis. 2007. 195:203–210.
73. Cho MJ, Chang SM, Hahm Bj, Chung IW, Bae A, Lee YM, Ahn JH, Won SH, Son J, Hong JP, Bae JN, Lee DW, Cho SJ, Park JI, Lee JY, Kim JY, Jeon HJ, Lee HW. Prevalence and correlates of major mental disorders among Korean adults: a 2006 National Epidemiologic Survey. J Korean Neuropsychiatr Assoc. 2009. 48:143–152.
74. Korean Ministry of Public Adminstration and Security. Munincipal Yearbook of Korea. 2008. 36th (2007) ed. Seoul: Regional Economy Division.
75. Eng MY, Luczak SE, Wall TL. ALDH2, ADH1B, and ADH1C genotypes in Asians: a literature review. Alcohol Res Health. 2007. 30:22–27.
76. Simon GE, Ludman EJ. Outcome of new benzodiazepine prescriptions to older adults in primary care. Gen Hosp Psychiatry. 2006. 28:374–378.
77. Lee HY, Shin SC. A pattern of mental disorders (K-OARS) in the elderly in a korean rural community (Kangwha county). J Korean Neuropsychiatr Assoc. 1989. 28:617–631.
78. Lee MS, Nam JW, Cha JH, Kwak DI. Factors affecting the severity of depressive symptoms in the elderly. J Korean Neuropsychiatr Assoc. 1999. 38:1063–1070.
79. Lee Y, Shinkai S. Correlates of cognitive impairment and depressive symptoms among older adults in Korea and Japan. Int J Geriatr Psychiatry. 2005. 20:576–586.
Full Text Links
  • JKMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr